Individual provider Active NPI

Madalyn Rae Ferlazzo, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1104501402
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13394 Issued in NC
Practice address
101 SW Cary Pkwy Ste 210
Cary, NC 27511-5562
Phone
(919) 467-8556
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-13394 NC Primary

Addresses

Primary practice location

101 SW Cary Pkwy Ste 210
Cary, NC 27511-5562

Mailing address

2508 Silverpalm St
Raleigh, NC 27612-6065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821002134 NC Practitioner - Physician Assistant 4688036882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Dermatology Center PAGroup PAC ID 7911981956, 9 clinicians
Coastal Dermatology and Surgery Center, PAGroup PAC ID 8820067499, 3 clinicians

Practice addresses (Care Compare)

101 SW Cary Pkwy
Suite 210
Cary, NC 27511-5562
Phone (919) 467-8556

2504 Delaney
Wilmington, NC 28403-6002

2504 Delaney Ave
Wilmington, NC 28403-6002
Phone (910) 343-0626

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-13394NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Gastroenterology Associates,PA CurrentSince Jul 24, 2023 Accepting new patients
Cary Dermatology Center, P.a. CurrentSince Oct 31, 2025 Accepting new patients
Coastal Cardiology Associates, PA Past Accepting new patients
Rochester General Hospital PastSince Oct 31, 2025 Accepting new patients

Locations

101 SW Cary Pkwy
Ste 210
Cary, NC 27511
Phone (919) 467-8556

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

Interoperability endpoints

  • Direct secure messaging: mferlazzo@coastaldermatology.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1104501402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 SILVERPALM ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SW CARY PKWY STE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115562",
            "telephone_number": "919-467-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERLAZZO",
        "first_name": "MADALYN",
        "middle_name": "RAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.